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INTERNAL MEDICINE OF BERWICK PC INC NPI 1265474670


NPI Information

NPI: 1265474670
Provider Name: INTERNAL MEDICINE OF BERWICK PC INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D0975175

Address:
751 E 16TH ST
SUITE300
BERWICK, PA
ZIP 18603
Phone: (570) 752-5056
Get Directions

INTERNAL MEDICINE OF BERWICK PC INC is an internal medicine in Berwick, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. INTERNAL MEDICINE OF BERWICK PC INC NPI is 1265474670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

751 E 16TH ST
SUITE300
BERWICK, PA
ZIP 18603-321
Phone: (570) 752-5056

The provider's authorized official is Pavel Pribula .
The authorized official title is Owner and has the following contact phone number (570) 752-5056.

The CLIA number assigned to this NPI record is 39D0975175 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMD067594LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10075190570002MEDICAIDPENNSYLVANIA
2G91545MEDICARE UPINPENNSYLVANIA
31348169OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
4077794MEDICARE PINPENNSYLVANIA
5010093500OTHERPENNSYLVANIABLACK LUNG
602305400OTHERPENNSYLVANIACAPITAL BLUE CROSS
71533376OTHERPENNSYLVANIAGATEWAY
8221084OTHERPENNSYLVANIAFIRST PRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.